Provider Demographics
NPI:1427588102
Name:NGUYEN, TAMMY A (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:TAMMY
Middle Name:A
Last Name:NGUYEN
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1502 BENTON BLVD APT 18102
Mailing Address - Street 2:
Mailing Address - City:SAVANNAH
Mailing Address - State:GA
Mailing Address - Zip Code:31407-5159
Mailing Address - Country:US
Mailing Address - Phone:678-350-8595
Mailing Address - Fax:
Practice Address - Street 1:125 TOWNE DR
Practice Address - Street 2:
Practice Address - City:BLUFFTON
Practice Address - State:SC
Practice Address - Zip Code:29910-4203
Practice Address - Country:US
Practice Address - Phone:843-815-7070
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-06-15
Last Update Date:2017-06-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GAPH37077183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist